High Comorbidity Adjustment
A High Comorbidity Adjustment applies when multiple qualifying secondary diagnoses substantially increase the complexity of patient care, raising the PDGM payment.
Definition
A High Comorbidity Adjustment applies when multiple qualifying secondary diagnoses substantially increase the complexity of patient care, raising the PDGM payment.
Why it matters
High Comorbidity Adjustment is part of the Home Health vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.
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